It is normal for babies and toddlers to have 'flat feet' due to the presence of fatty tissue on the insoles of their feet. This persists until approximately four - six years of age. Many children present with 'flexible flat feet', early in their walking development and may well grow out if it as their walking matures and they develop a longitudinal arch. Walking in bare in feet is ideal for promoting foot development.
Referral not necessary if: -
- the child is under four years of age
- the longitudinal arch forms normally when the child stands on tip-toe or when the big toe is passively extended
Consider referral if :-
- patient aged over 4 and has significant pain in feet – consider direct referral to orthotics (orthotics not advised if no foot pain)
- there are signs of pressure on the foot e.g. blistering or callosities.
- the longitudinal arch does not form normally when the child stands on tip-toe.
- the foot is stiff (i.e the normal arch does not form when the child stands on tip-toe or the big toe is passively extended) - example of stiff flat feet shown (due to tarsal coalition)
- patient has significant knee pain associated with flat feet
e-Referral Service Selection
- Specialty: Children's and Adolescent Services
- Clinic Type: Orthopaedics
DRSS Referral Proforma
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: May 2017
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Children & Adolescents >
Flat Feet in Children
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